DR. Jerrold L Larsen, O.D.

NPI #1952488595 in Casper, Wyoming

Provider Information

NPI Number: 1952488595
Entity Type: Individual
Name: DR. Jerrold L Larsen, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1940 E 1ST ST
City: Casper
State: Wyoming
ZIP Code: 82601-2747
Phone: (307) 266-9988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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